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Dear Parent(s) / Carer(s),
Re: Increase in scarlet fever
We are writing to inform you of a recent increase in notifications of scarlet fever to the UK Health Security Agency (UKHSA), above seasonal expected levels.
We would like to take this opportunity to remind you of the signs, symptoms and the actions to be taken if you think that you or your child might have scarlet fever.
Signs and symptoms of scarlet fever
While case numbers are high, parents should be on the lookout for the symptoms of scarlet fever so that appropriate and timely treatment can be given.
Scarlet fever is usually a mild illness that clears up quickly after a course of antibiotics. It usually starts with a sore throat, headache, fever, nausea and vomiting, followed by a rash that feels like sandpaper to the touch.
The rash usually develops after 12 to 48 hours, typically on the chest and stomach first, then rapidly spreading to other parts of the body.
On white skin the rash looks pink or red. On brown and black skin it might be harder to see a change in colour, but you can still feel the sandpaper-like texture of the rash and see the raised bumps. Patients typically have flushed cheeks and can be pale around the mouth. This may be accompanied by a bright red ‘strawberry’ tongue.
Despite the increase we are seeing in scarlet fever and other Group A Strep infections, the risk of the bacteria causing a more serious infection remains very low. But as a parent, if you feel that your child seems seriously unwell, you should trust your own judgement. If you think you, or your child, might have scarlet fever:
You can help stop the spread of infection through frequent hand washing and by not sharing eating utensils, clothes, bedding and towels. All contaminated tissues should be disposed of immediately.
Invasive Group A Strep (iGAS)
The same bacteria which cause scarlet fever can also cause a range of other types of infection such as skin infections (impetigo) and sore throat. In very rare cases, the bacteria can get into the bloodstream and cause an illness called invasive group A strep (iGAS). Whilst still very uncommon, there has been an increase in iGAS cases this year, particularly in children under 10 years old. It is very rare for children with scarlet fever to develop iGAS infection.
As a parent, you should trust your own judgement.
Contact NHS 111 or your GP if:
Call 999 or go to A&E if:
Stop the spread
During periods of high incidence of scarlet fever, there may also be an increase in outbreaks in schools, nurseries and other childcare settings. Children and adults with suspected scarlet fever should stay off nursery / school / work until 24 hours after the start of appropriate antibiotic treatment. Good hygiene practice such as hand washing remains the most important step in preventing and controlling spread of infection.
Thank you for your time
Resources
Scarlet fever: symptoms, diagnosis and treatment
Health protection in children and youngpeople settings, including education
Hand hygiene resources for schools
Here are some useful helplines open over Christmas:
If you are a child worried about something and you don’t have a trusted adult you can speak to then you can speak to the NSPCC - 0808 800 5000
If you are a child worried about something and you don’t have a trusted adult you can speak to then you can speak to the Childline - 0800 1111
Reporting online abuse CEOP
For Sandwell residents Sandwell Residents Help
Support services in Sandwell SCVO – 0121 525 1127
The Samaritans are here to help people struggling with mental health Samaritans - 116 123
Struggling to cope with how you are feeling text Shout – Text 85258
Struggling to cope with how you are feeling Mind - 0300 123 3393
Struggling to cope with how you are feeling No Panic - 0300 7729844
Struggling to cope with how you are feeling Campaign Against Living Miserably - 0800 58 58 58
Worried about drinking too much Drinkline - 0300 123 1110
Worried about drugs Talk to Frank - 0300 123 6600
Worried about finances and money issues National Debtline - 0808 808 4000
Worried about homelessness Shelter - 0808 800 4444
Worried about being abused by someone National Domestic Abuse Helpline - 0808 2000 247
Support with death and bereavement Cruse Bereavement Care - 0808 808 1677
Support if you are dealing with cancer Macmillan Cancer Support - 0808 808 00 00
Support for the elderly Age UK - 0800 055 6112
Support for the elderly The Silver Line - 0800 4 70 80 90
Our children in Year 5 have been studying the Victorians this term and what better way to end the term than a performance of the Dicken's classic, Oliver Twist. The children were brilliant, from singing to acting to scene changing, they all did a wonderful job and are just another reason why we are so proud of our children at Cape.
Well done Year 5!
What a joy it has been to enjoy some festive singing from KS1 these past two days. The children in Year 1 & Year 2 have been practising songs for Christmas and performed beautifully for parents on Tuesday and Wednesday afternoon. Due to COVID this is the first time that these children have performed for such a large live audience. They did a super job and the dancing was fab! Well done KS1!
What is Group A Streptococcal infection?
Group A streptococci (GAS) are a type of bacteria and is spread by close contact between individuals, through respiratory droplets and direct skin contact. GAS infection is contagious.
Scarlet fever
Scarlet fever is usually a mild illness, but it is highly infectious. It is a bacterial infection.
Contact NHS 111 or GP if you suspect your child has scarlet fever, because early treatment of scarlet fever with antibiotics is important to reduce the risk of complications such as pneumonia or a bloodstream infection. https://www.nhs.uk/conditions/scarlet-fever/
If your child has scarlet fever, keep them at home until at least 24 hours after the start of antibiotic treatment to avoid spreading the infection to others. https://www.gov.uk/government/publications/scarlet-fever-managing-outbreaks-in-schools-and-nurseries
Sore throat/ tonsillitis
Most sore throats are viral however, some can be bacterial especially if white pus present.
Contact NHS 111 or GP if your sore throat does not improve after a week, you often get sore throats, you have a sore throat and a very high temperature, or you feel hot and shivery or you have a weakened immune system – for example, because of diabetes or chemotherapy. https://www.nhs.uk/conditions/sore-throat/
You do not normally need antibiotics for a sore throat because they will not usually relieve your symptoms or speed up your recovery. They'll only be prescribed if a GP thinks you could have a bacterial infection.
You can still send your child to school if they have a sore throat but if they also have a high temperature, they should stay at home until it goes away. A sore throat and a high temperature can be symptoms of tonsillitis. https://www.nhs.uk/live-well/is-my-child-too-ill-for-school/
What is Invasive Group A Streptococcal Infection?
Very rarely, GAS can also cause more serious or ‘invasive’ infection (iGAS). Where iGAS infection occurs, the bacteria may produce toxins and may cause a number of severe and sometimes fatal conditions such as:
Call 999 or go to A&E if:
Your child is floppy and will not wake up or stay awake https://www.gov.uk/government/news/ukhsa-update-on-scarlet-fever-and-invasive-group-a-strep
Please see the image below regarding the Governments advice over illness and absence from school. Whilst we recognise children get poorly from time to time it is important to make sure your child attends school every day.
Sandwell have a pot of money to provide holiday activities to families in receipt of free school meals. If you are entitled to free school meals the school office will have sent your HAF code. To find out more and book your child on some activities click here.
Thank you so much to all of the parents and families that attended our EYFS Nativity today, it was wonderful to welcome families back in to school following the last two years and restrictions. Our Reception and Nursery did a fantastic job, the singing was marvellous and the speaking was incredible. Well done everyone and thank you to our fabulous staff for organising and helping the children to learn the songs and lines. My Christmas has officially started!
Miss Baker
The birth rate in the area and nationally has fallen in recent years and this means that there are fewer children coming in to schools. As a result we are consulting to change our pupil admission number (PAN) from 90 to 60 from September 2023. This means there will be 60 places available in reception and not 90. To find out more please click here to read about the consultation on the council website.
We are about to head into the coldest part of the year. Here is some useful advice about keeping warm this winter. Don't forget that Sandwell are also providing warm spaces for families who may be struggling with keeping homes warm click here to find out more.